EXCLUDEDPROVIDER
Individual Revocation

Stacey Lynn Mikesell

Newton, MA 02460

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Stacey Lynn Mikesell of Newton, MA is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of December 20, 2004.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Newton, MA 02460
Exclusion date
December 20, 2004
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Stacey Lynn Mikesell appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Newton, Massachusetts. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is December 20, 2004, and the exclusion type is 1128b4, identified by HHS-OIG as license revocation, suspension, or surrender.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateDecember 20, 2004
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128b4 as “License revocation, suspension, or surrender.” License revocation, suspension, or surrender (permissive exclusion).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with Newton, MA 02460. The listed provider category is Medical Practice, MD. The listed specialty is Anesthesiology.

Other excluded providers in Newton, MA

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Newton, MA address.

Alexander Shrayber Individual Program Crime
Newton, MA · Conviction of program-related crimes · Excluded Jul 2013
Deborah Anne Sichel Individual Revocation
Newton, MA · License revocation, suspension, or surrender · Excluded Dec 2004
Donna J Marshall Individual Revocation
Newton, MA · License revocation, suspension, or surrender · Excluded Nov 2004
Catherine E Gormley Individual Revocation
Newton, MA · License revocation, suspension, or surrender · Excluded Feb 2000
Judith A Occhipinti Individual Revocation
Newton, MA · License revocation, suspension, or surrender · Excluded Sep 1999
Sonya E Staton Individual Loan Default
Newton, MA · Default on health education loan or scholarship obligations · Excluded Nov 1998
Joseph G Vilimas Individual Revocation
Newton, MA · License revocation, suspension, or surrender · Excluded Apr 1998
Richard R Randall Individual Revocation
Newton, MA · License revocation, suspension, or surrender · Excluded Mar 1998

See all 11 excluded providers in Newton →

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

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Related

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